Pancreatic perforation caused by the Soehendra® retrieval device in a patient with chronic pancreatitis.

Author: Seung Yong SHIN ¹ ; Sung Ill JANG ; Joon Seong PARK ; Dong Ki LEE
Author Information

1. Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. dklee@yuhs.ac
Publication Type:Brief Communication
Keywords: Cholangiopancreatography, endoscopic retrograde; Pancreas; Pancreatitis, chronic; Perforation
MeSH: Cholangiopancreatography, Endoscopic Retrograde; Emergencies; Humans; Male; Pancreas; Pancreatic Ducts; Pancreatitis, Chronic*; Peritonitis; Punctures; Stents
From:Gastrointestinal Intervention 2017;6(3):187-190
CountryRepublic of Korea
Language:English
Abstract: SUMMARY OF EVENT: An endoscopic retrograde pancreatic duct (ERPD) stent was inserted in a male patient with chronic pancreatitis via endoscopic retrograde cholangiopancreatography (ERCP) to relieve chronic epigastric pain. After the procedure, an abdominal computed tomography scan showed localized peritonitis with a dislocated ERPD stent. The patient underwent an emergency operation, which revealed that the peritonitis was caused by perforation of the pancreatic parenchyma by the ERPD stent. TEACHING POINT: A hydrophilic guide wire can puncture the pancreas during ERPD stent insertion. Therefore, it is necessary to ensure that the guide wire reaches the main pancreatic duct, especially in patients with chronic pancreatitis.